Healthcare Provider Details

I. General information

NPI: 1821857053
Provider Name (Legal Business Name): SERENE HANDS HOMECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3151 MIDTOWN PARK S STE B
MOBILE AL
36606-4146
US

IV. Provider business mailing address

1325 FOREST RIDGE RD E
MOBILE AL
36618-2839
US

V. Phone/Fax

Practice location:
  • Phone: 251-930-2953
  • Fax:
Mailing address:
  • Phone: 251-454-5270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA A JAMES
Title or Position: OWNER
Credential: RN, BSN
Phone: 251-454-5270